Özcan Sait Coskun, Önder Feyza, Demir Nedime, Özarslan Özcan Deniz
Mustafa Kemal University, Department of Ophthalmology, Hatay, Turkey.
Haseki Education and Research Hospital, Istanbul, Turkey.
GMS Ophthalmol Cases. 2019 Mar 29;9:Doc10. doi: 10.3205/oc000099. eCollection 2019.
Traumatic superior orbital fissure syndrome is a rare complication that occurs in association with craniofacial trauma. In the present case, there were no associated orbital fractures or other lesions to explain. We present a-16-year-old patient with total ophthalmoplegia, ptosis, and anesthesia of the upper eyelid and forehead 6 hours after a reported trauma to the left eye. We measured the width of the superior orbital fissure on the horizontal plane including the optic canal using computed tomography scans. Radiological examinations did not reveal any orbital fractures. However, the superior orbital fissure on the affected side was only 1.86 mm, increasing susceptibility to indirect trauma. A narrow superior orbital fissure may play a role for superior orbital fissure syndrome altering the transmitted force from the trauma and edema.
创伤性眶上裂综合征是一种与颅面创伤相关的罕见并发症。在本病例中，不存在相关的眼眶骨折或其他病变可以解释。我们报告一名16岁患者，在左眼受伤6小时后出现完全性眼肌麻痹、上睑下垂以及上睑和前额感觉缺失。我们使用计算机断层扫描测量了包括视神经管在内的眶上裂在水平面上的宽度。影像学检查未发现任何眼眶骨折。然而，患侧的眶上裂仅为1.86毫米，增加了间接创伤的易感性。狭窄的眶上裂可能在眶上裂综合征中起作用，改变了创伤和水肿传递的力量。
